ICHA structure was based on Significant Movements Worldwide

• Autonomous – professional driven – open accreditation systems
• Political and moral force in Health care arena
• Balanced growth – self regulation of Health care market
• Professional focused to patient focused
• Individual to team effort
• Responsive and accountable
• Greater public scrutiny
• Continuous interdependent relationship with Executive Judiciary & Legislative
• Greater focus on professional care
• Delays when Govt. support sought as primary driver
• Not succeeded without professional support
• Piecemeal systems not worked
• Multiple systems not worked

Steps of Activities for Associations/Member Stakeholders

• Strengthen ICHA. Widely disseminate the information through inserts and write ups in journals, conference announcements, and Personal/written communication.
• Voluntary distribution of work to individual experts (affiliates) on Standard Assessment Guidelines (SAGs) and Standard Treatment Guidelines (STGs). Ask professionals / members to give SAGs & STGs that are already documented. Similarly other providers develop process guidelines in other areas.
• Process and guidelines to be made by people who do the actual work in conjunction with input providers and output receivers.
• Initial focus on high volume and high-risk diagnosis groups and key processes.
• Categorization/grading of guidelines into ideal / desirable / threshold levels.
• Experts form groups of 5-10 to exchange and initial peer review.
• The initial work is posted on the web site specially created.
• Concerned people can give their feedback with alternative suggestions with reasons thereof.
• Reiteration process – update as necessary, through the author.
• Final approval by the concerned professional associations.
• Consideration and adoption by the Technical council of the ICHA.
• Updation at-least annually and as and when necessary
• ICHA in parallel to work on generic areas and post guidelines on website for reiteration as above.

Key point summary of the Memorandum and Articles of Association

1. A section 25 Not-for-Profit Public Company limited by Guarantee with registered office in Delhi. 7 associations viz. API (Association of Physicians of India), ASI (Association of Surgeons of India), ISA (Indian Society of Anaesthesiologists), AIOS (All India Ophthalmological Society), IPA (Indian Pharmaceutical Association), IHPA (Indian Hospital Pharmacist’s Association) and AHA (Academy of Hospital Administration) – the requisite number signed as the initial subscribers.


2. To develop, implement and upgrade a comprehensive Healthcare Accreditation System thereby bringing about all round improvement in Healthcare delivery for the benefit of all.


3. An autonomous body that is widely held (i.e. all stakeholders – providers, users, payers & funders, educators and regulators) and is driven by professionals. Has consensus based approach to encourage and ensure collaborative relationships. Consideration of all aspects of healthcare delivery and views of all stakeholders with trust and transparency to ensure credibility and continued participation.


4. Not for profit but aim to be economically self-sustaining in the long run. Volunteering to work but recognition and rewards for contribution and excellence.


5. Focus on Quality and its continuous improvement internally as well as externally.


6. Provisions for utilising futuristic technology and dynamic to be in tune with the times.


7. Long-term perspective incorporating appropriate safeguards for continued value of purpose.


8. Non-political, unbiased structure ensuring equity and opportunity for all to contribute.


9. Two levels – Membership with voting right limited to national associations represented by their nominees (with provision for invitees / observers as necessary) and Affiliates comprising individuals, individual organisations / hospitals and regional / local associations or specific purpose bodies.


10. Neutral Chairperson and Vice-chairperson. Periodical rotation through Board of Directors (eligibility limited to National Associations) – Technical Council – General body to ensure shared responsibility, dynamism and inclusion. The proportion composition of the Company at all levels to be in ratio of contribution, need and availability of stakeholders (see 15 below).


11. Corporate functioning to ensure timely goal achievement and maintain focus through dedicated Chief Executive Officer (CEO) supported by a team at various levels as per need and progress


12. Board of Directors shall be selected preferably by volunteering or elected on the basis of their willingness to contribute to their role as owner/business managers by the Technical Council. An Executive Committee of Board of Directors (3 or 5 as per need) to supervise and support day-to-day functioning of the CEO and ICHA


13. Work by those who volunteer but to ensure responsibility, timeliness and purpose to be compensated / recognised / rewarded appropriately. This shall ensure a focus and high quality. The Technical Council shall be responsible and determinant of the technical content. All stakeholders shall represent it. The seats shall be allocated in respective categories in their proportionate representation on the basis that the first round shall accommodate all specialties / categories. If seats are available then only the 2nd round of seats may be catered to and so on depending upon also on the number of members from each area / category / speciality. The choice of representation in case of more than one member of the same major specialty / subspecialty / category shall be decided within the group either by consensus, rotation or voting as the group may deem fit. Thus leading to limited voting if necessary by the General Body.


14. Mandatory articles as per companies act and to ensure special status. Eligibility for various exemptions, reliefs and special Income–Tax status. Exempted from Income Tax: Registered under section 12A read with section 12AA(1)(b) of the Income Tax Act, 1961 vide letter No. DIT(E) 2005-06/I-1052/04/131 dated 12th May,2005. Donations to Indian Confederation for Healthcare Accreditation are exempt from Income Tax as per Section 80G of the Income Tax Act 1961 vide letter No. DIT (E) / 2009/I-1052/772 dated 24/9/2009


15. The composition of ICHA at all levels i.e. General Body, Technical Council and Board of Directors shall be as below: –
    

    National Professional Association(s) of Healthcare Providers:	60%
    National Association(s) of Facility Owners/Providers:	10%
    National Association(s) of Consumers Organizations	10%
    National Association(s) of Media	03%
    National Association(s) of Law/ Legal professionals/ Chartered Accountants	02%
    National Association(s)/Organisation(s) of Funders or Payers (break up as under):	10%
    (i) Government 5% (ii) Insurance 2% (iii) Companies 3%
    National Professional Councils/ Educational/ Research Bodies in areas of Healthcare	05%